WELLCARE PHARMACY INC
NPI: 1477895944
· PHILADELPHIA, PA 19149
· Community/Retail Pharmacy
· NPI assigned 03/22/2013
$20.82
Total Medicaid Paid
Provider Details
| Authorized Official | LI, ZENGXING (PHARMACY MANAGER) |
| NPI Enumeration Date | 03/22/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
50 |
$14.16 |
| 2023 |
13 |
$6.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
51 |
50 |
$19.98 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$0.84 |